The hydropathic encyclopedia: a system of hydropathy and hygiene .. . nor founded on true mechanical nor physiological very different and much more easy plan for both surgeon and pa-tient, which dispenses with the torture of traction entirely, was prac-ticed successfully many years ago by the late N. Smith, of Yale Col-lege, and has since been adopted by Dr. Cartwright, of Natchez, andrecently explained by Dr. Reid, of Rochester. It is as follows : Placethe patient on his back, without fastenings of any kind, the leg flexedon the thigh, and then strongly adducted—carried inward; i
The hydropathic encyclopedia: a system of hydropathy and hygiene .. . nor founded on true mechanical nor physiological very different and much more easy plan for both surgeon and pa-tient, which dispenses with the torture of traction entirely, was prac-ticed successfully many years ago by the late N. Smith, of Yale Col-lege, and has since been adopted by Dr. Cartwright, of Natchez, andrecently explained by Dr. Reid, of Rochester. It is as follows : Placethe patient on his back, without fastenings of any kind, the leg flexedon the thigh, and then strongly adducted—carried inward; in this con-dition the adduction is continued by flexing the thigh on the pelvis,until the knee is as high as the umbilicus. This plan is predicated—correctly, I think—on the idea that the distention of the small musclesconstitutes the main obstacle to reduction, instead of the contractionund resistance of the large ones. The reduction of the downward luxation is much easier than that•f the upward. The patient is placed on the back, the thighs aep- Fig. REDUCTION OF DOWNWARD LUXATION •rated, fig 245; a folded cloth is placed over the perineum, so thatwhen the ends ire drawn up,! the free will aga»nst the innel DISLOCATIONS. 408 ud back surfaceof the bone. Anotler strong band is passed around the pelvis, above the acetabulum, the front end passing overthe former strap, so as to give to it a more upward direction. The forceis then applied, as in the former case, and as the head cf the bone be-gins to rise, the surgeon passes his hand under the opposite leg, and!seizing the ankle of the affected one, brings it gently, yet firmly, to-ward the other; by all of which movements combined, it is brought,into its socket The third variety, dislocation backward into the ischialic notch, is thamost difficult of all to reduce. The patient is placed on his sound side Fig. 246.
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Keywords: ., bookcentury1800, bookdecade1870, bookpub, booksubjecthydrotherapy
